IHMO CH 12 TRUE FALSE QUESTIONS AND ANSWERS
False - CORRECT ANSWER✅✅When a Medicare recipient chooses a Medicare senior plan, he or she
forfeits the Medicare card.
False - CORRECT ANSWER✅✅Once a patient changes from Medicare to a senior HMO, the patient must
stay with that HMO for the remainder of the calendar year.
True - CORRECT ANSWER✅✅Non participating physicians have an option regarding accepting
assignment on the Medicare patient.
False - CORRECT ANSWER✅✅A non participating physician who is not accepting assignment may bill
any fee he or she wants.
False - CORRECT ANSWER✅✅Because Medicare is a federal program providing uniform benefits,
payment of each medical service rendered to Medicare patients is consistent across the United States.
False - CORRECT ANSWER✅✅Medicare Part B insurance payments are all handled by the National Blue
Cross Association.
False - CORRECT ANSWER✅✅When a CMS 1500 claim form is automatically transferred by Medicare to
a Medigap carrier, there is no need to obtain a separate signature authorization for the Medigap carrier.
True - CORRECT ANSWER✅✅The patient's authorized signature is not required on the CMS-1500 claim
form for Medicare-Medicaid cases.
False - CORRECT ANSWER✅✅The time limit for sending in Medicare claims is the end of the calendar
year in which professional services were performed.
True - CORRECT ANSWER✅✅The assignment on a patient with Medicare-Medicaid must always be
accepted or Medicaid will not pick up the residual.
False - CORRECT ANSWER✅✅When a Medicare recipient chooses a Medicare senior plan, he or she
forfeits the Medicare card.
False - CORRECT ANSWER✅✅Once a patient changes from Medicare to a senior HMO, the patient must
stay with that HMO for the remainder of the calendar year.
True - CORRECT ANSWER✅✅Non participating physicians have an option regarding accepting
assignment on the Medicare patient.
False - CORRECT ANSWER✅✅A non participating physician who is not accepting assignment may bill
any fee he or she wants.
False - CORRECT ANSWER✅✅Because Medicare is a federal program providing uniform benefits,
payment of each medical service rendered to Medicare patients is consistent across the United States.
False - CORRECT ANSWER✅✅Medicare Part B insurance payments are all handled by the National Blue
Cross Association.
False - CORRECT ANSWER✅✅When a CMS 1500 claim form is automatically transferred by Medicare to
a Medigap carrier, there is no need to obtain a separate signature authorization for the Medigap carrier.
True - CORRECT ANSWER✅✅The patient's authorized signature is not required on the CMS-1500 claim
form for Medicare-Medicaid cases.
False - CORRECT ANSWER✅✅The time limit for sending in Medicare claims is the end of the calendar
year in which professional services were performed.
True - CORRECT ANSWER✅✅The assignment on a patient with Medicare-Medicaid must always be
accepted or Medicaid will not pick up the residual.